WO2003086214A1 - Device for extraction of pins at fixation means for fixation of bone fragments at bone fractures - Google Patents

Device for extraction of pins at fixation means for fixation of bone fragments at bone fractures Download PDF

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Publication number
WO2003086214A1
WO2003086214A1 PCT/SE2003/000558 SE0300558W WO03086214A1 WO 2003086214 A1 WO2003086214 A1 WO 2003086214A1 SE 0300558 W SE0300558 W SE 0300558W WO 03086214 A1 WO03086214 A1 WO 03086214A1
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WO
WIPO (PCT)
Prior art keywords
extraction
extraction member
pin
sleeve
threads
Prior art date
Application number
PCT/SE2003/000558
Other languages
French (fr)
Other versions
WO2003086214B1 (en
Inventor
Henrik Hansson
Original Assignee
Henrik Hansson
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Henrik Hansson filed Critical Henrik Hansson
Priority to DE60330129T priority Critical patent/DE60330129D1/en
Priority to US10/509,606 priority patent/US7850699B2/en
Priority to AU2003217136A priority patent/AU2003217136A1/en
Priority to AT03713170T priority patent/ATE448745T1/en
Priority to JP2003583242A priority patent/JP4421901B2/en
Priority to EP03713170A priority patent/EP1492465B1/en
Publication of WO2003086214A1 publication Critical patent/WO2003086214A1/en
Publication of WO2003086214B1 publication Critical patent/WO2003086214B1/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/92—Impactors or extractors, e.g. for removing intramedullary devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/74—Devices for the head or neck or trochanter of the femur

Definitions

  • the present invention relates to a device for extraction of pins at fixation means for fixation of bone fragments at bone fractures .
  • the fixation means includes a sleeve and at least one pin provided in said sleeve.
  • the sleeve has at a front end portion at least one opening in a longitudinal side thereof. A front part of the pin extends, when it is located in an operating position, out of the sleeve through the opening and engage bone material of one of the bone fragments.
  • the extraction device is adapted to pull the pin in a backwards direction relative to the sleeve in order to withdraw the front part of the pin from bone material of one of the bone fragments and into the sleeve.
  • the invention also relates to use of the above entioned device.
  • Extraction devices of the type defined above are described in US 4 498 468.
  • an extraction handle subjects the pin to torsional forces when said pin is pulled backwards into the sleeve thereby by turning or rotating the extraction handle. These torsional forces press the front part of the pin against one edge of the opening in the sleeve from which said front part of the pin extends out of the sleeve. The front part of the pin is pressed against one edge of the opening during the entire drawing-in movement and until the front part of the pin is situated within the opening.
  • the object of the present invention is to eliminate this problem and this is arrived at by providing the device defined above with the characterizing features of primarily subsequent claim 1.
  • figure 1 is a perspective view of a device according to the invention, wherein the device is connected to a fixation means for pulling the pin thereof backwards;
  • figure 2 is a side view of the device of figure 1;
  • figure 3 is a perspective view of an inner extrac- tion member forming part of the device of figure 1;
  • figure 4 is a longitudinal section of the inner extraction member of figure 3 ;
  • figure 5 is a perspective view of an outer extraction member forming part of the device of figure 1;
  • figure 6 is a side view of the outer extraction member of figure 5;
  • figure 7 is a side view of an extraction handle forming part of the device of figure 1.
  • the extraction device 1 illustrated in the drawings is adapted for extraction or withdrawal of fixation means 2 for fixation of bone fragments 3 , 4 at bone fractures 5.
  • the bone fragments 3 , 4 to be fixed can be bone fragments at femoral fractures, collar bone fractures or at fractures of any other bone in the body.
  • the fixation means 2 may be of any prior art type - see e.g. US 4498 468 - and it may include a sleeve 6 and at least one pin 7 provided in said sleeve 6.
  • the sleeve 6 has an open rear end portion 8 and a front end portion 9 having at leant one opening 10 in a longitudinal side of the sleeve 6 but being otherwise closed.
  • the pin 7 can be driven into the sleeve 6 in a forward direc- tion by means of a drawing-in instrument (already known per se and therefore not shown) such that a front part 11 of the pin 7 is brought to protrude through the opening 10 until it engages the bone material of the surrounding bone fragment 4.
  • the fixation means 2 fix the bone fragments 3 , 4 at each other.
  • the extraction device 1 is adapted for withdrawal of the front part 11 of the pin 7 from the bone material of the bone fragment 4 for being able to remove the sleeve 6 when the fracture 5 is healed.
  • the extraction device 1 comprises, in the embodiment shown, three members, namely an inner extraction member 12, an outer extraction member 13 and a manully operable extraction handle 14, and these three members are provided to pull the pin 7 backwards relative to the sleeve 6 without thereby subjecting the pin 7 to torsional forces in relation thereto.
  • the inner extraction member 12 consists of an elongated rod which at a front end portion 15 has an axially directed hole with inner threads 16.
  • the front end portion 15 has such a diameter that it can be pushed into the rear end portion 8 of the sleeve 6 and its inner threads 16 mesh with outer threads 17 on a rear part 18 of the pin 7 such that the inner extraction member 12 can be screwed onto said rear part 18.
  • the front end portion 15 of the inner extraction member 12 transforms through an edge 19 into such portions 20 of the inner extraction member 12 which preferably have a larger diameter than the front end portion 15.
  • the edge 19 of the inner extraction member 12 may engage a rear edge 21 of the sleeve 6 when the inner ex- traction member 12 is operating.
  • the hole with the inner threads 16 in the front end portion 15 of the inner extraction member 12 has preferably an inlet 22 without threads and tapering coni- cally in a direction inwards into the hole.
  • the pin 7 can guide the inner extraction member 12 such that the inner threads 16 thereof easily “find” the outer threads 17 of the pin 7 , whereby said inner and outer threads 16, 17 more easily mesh with each other in a correct manner when the inner extraction member 12 is scre- wed onto the pin 7.
  • an outer portion of the rear part 18 of the pin 7 may also be without threads and have a conically increasing diameter in a direction towards the outer threads 17 of the rear part 18.
  • the inner extraction member 12 has a hole with inner threads 23 in a rear end portion 24 and the extraction handle 14 has a front end portion 25 with outer threads 26 which fit or mesh with said inner threads 23. Said front end portion 25 ends at a transverse edge 27 and the extraction handle 14 has at the back a transverse handle member 28 which is engaged in order to turn or rotate the extraction handle 14.
  • the rear end portion 24 of the inner extraction member 12 has a rotary preventing member 29, e.g. at least an oval member 29, which can be defined by one or more flat face milled parts of the rear end portion 24 which for the rest has a circular cross section.
  • a rotary preventing member 29 e.g. at least an oval member 29, which can be defined by one or more flat face milled parts of the rear end portion 24 which for the rest has a circular cross section.
  • the outer extraction member 13 consists of, in the illustrated embodiment, an elongated sleeve which is open at a front end portion 30 as well as at a rear end portion 31. This sleeve is sized such that the inner extraction member 12 can be inserted thereinto and displaced in an axial extraction direction R relative to said sleeve.
  • the rear end portion 31 of the outer extraction member 13 has inside the sleeve a rotary preventing member 32, e.g. in the form of a flat constriction of the interior of the sleeve, the rest of which has a circular cross-sectional shape.
  • the inner extraction member 12 can be inserted into the outer extraction member 13 so far that rotary preventing members 29 of the former cooperate with the rotary preventing members 32 of the latter in such a way that they prevent rotation of the inner extraction member 12 and the pin 7 relative to the outer extraction member 13 and the sleeve 6 about a geometric centre line C which extends along the inner and outer extraction members 12 , 13 and the sleeve 6 and the pin 7 when said inner extraction member 12 and said pin 7 are pulled backwards in the direction of extraction or withdrawal R.
  • the outer extraction member 13 has a through hole 33 with preferably the same diameter along its entire length except for said rotary preventing member 32.
  • the outer extraction member 13 is held fast with the hand so that it can not rotate about the centre line C and in order to facilitate this holding it may have a sideways or laterally directed handle 34 or similar, which preferably can be provided at the rear end portion 31 of the outer extraction member 13.
  • the lengths of the inner and outer extraction members 12, 13 and the location as well as the shape of the rotary preventing members 29, 32 are preferably cho- sen such that the extraction handle 14 can cooperate with the inner extraction member 12 only when said inner extraction member 12 is inserted into the outer extraction member 13 such that the rotary preventing members 29, 32 of said extraction members 12, 13 cooperate with each other.
  • the outer threads 26 of the extraction handle 14 have such length and/or the inner threads 23 in the rear end portion 24 of the outer extraction member 13 have such length that the extraction handle 14 can be screwed together with the inner extraction member 12 so far, but not farther, that the pin 7 is drawn or pulled backwards so far, but not farther than that the tip 35 of the pin 7 is situated within the opening 10 in the sleeve 6.
  • This means that the tip 35 of the pin 7 can cooperate with a rear edge of the opening 10 and thereby pull the sleeve 6 backwards together therewith when said sleeve shall be withdrawn from the bone fragments 3 , 4 by means of the extraction handle 14 and the extraction force of the extraction handle 14 is transferred to the pin 7 through the inner extraction member 12.
  • the inner extraction member 12 may have lateral holes 36, 37 which extend into the holes with the inner threads 16, 23 such that said holes can be flushed clean at the lateral holes 36, 37.
  • the device described above can be operated as follows :
  • the device described above is particularly suitable for use at fixation means 2 wherein the sleeve 6 and the pin 7 consists of titanium material, but may of course also be used at fixation means 2 of other materials, e.g. stainless steel.
  • the extraction handle 14 may be displace- able backwards relative to the outer extraction member 13 instead of being rotated, the rotary preventing members 29, 32 may be of a totally different type and be located in other ways than shown and described and the lengths of the various members and threads may be chosen diffe- rently than described.
  • the outer threads 26 of the extraction handle 14 and/ /or the inner threads 23 of the inner extraction member 12 are chosen diffe- rently than described.
  • the opening 10 in the sleeve 6 may be round or oval or substantially round or oval and the front part 11 of the pin 7 may have a rounded side by means of which it can cooperate with front parts of the opening 10, and another side, opposite to said side, which is flat or substantially flat and which can cooperate with rear parts of the opening 10.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

The present invention relates to a device for extraction of pins at fixation means for fixation of bone fragments at bone fractures. The fixation means (2) includes a sleeve (6) and at least one pin (7) provided in said sleeve. The sleeve (6) has at a front end portion (9) at least one opening (10) in a longitudinal side thereof. A front part (11) of the pin (7) extends, when it is located in an operating position, out of the sleeve (6) through the opening (10) and engage bone material of one of the bone fragments (3, 4). The extraction device (1) is adapted to pull the pin (7) in a backwards direction relative to the sleeve (6) in order to withdraw the front part (11) of the pin (7) from bone material of one of the bone fragments (3, 4) and into the sleeve (6). The extraction device (1) comprises means (12, 13, and 14) which are provided to draw or pull the pin (7) backwards relative to the sleeve (6) without thereby subjecting the pin (7) to torsional forces in relation thereto.

Description

Device for extraction of pins at fixation means for fixation of bone fragments at bone fractures and use of this device .
The present invention relates to a device for extraction of pins at fixation means for fixation of bone fragments at bone fractures . The fixation means includes a sleeve and at least one pin provided in said sleeve. The sleeve has at a front end portion at least one opening in a longitudinal side thereof. A front part of the pin extends, when it is located in an operating position, out of the sleeve through the opening and engage bone material of one of the bone fragments. The extraction device is adapted to pull the pin in a backwards direction relative to the sleeve in order to withdraw the front part of the pin from bone material of one of the bone fragments and into the sleeve. The invention also relates to use of the above entioned device. Extraction devices of the type defined above are described in US 4 498 468. At this prior art extraction device, an extraction handle subjects the pin to torsional forces when said pin is pulled backwards into the sleeve thereby by turning or rotating the extraction handle. These torsional forces press the front part of the pin against one edge of the opening in the sleeve from which said front part of the pin extends out of the sleeve. The front part of the pin is pressed against one edge of the opening during the entire drawing-in movement and until the front part of the pin is situated within the opening. It has been noticed that the front part of the pin is pressed against the edge of the opening with such power that the front part cuts into the edge or vice versa such that said front part clings to said edge. This means that there is a risk that the front part of the pin is broken or that the pin breaks at a threaded rear part since this part is weakened because of the threads. If the front part of the pin is broken, this part remains in the bone and if the pin is broken at the threaded rear part thereof, said pin can not be withdrawn or the withdrawal or extraction will at least cause some problems . These drawbacks are unacceptable when after fixation of the bone fragments, the fixation means shall be removed.
The object of the present invention is to eliminate this problem and this is arrived at by providing the device defined above with the characterizing features of primarily subsequent claim 1.
Said characterizing features see to that the front part of the pin is not pressed against the edge of the opening in the sleeve when said pin is withdrawn or extracted into the sleeve through the opening and thus, the front part can not cling to the edges of the opening. This means that the risk of breaking the pin at the front or at the back is eliminated.
The invention will be further described below with references to the accompanying drawings, in which figure 1 is a perspective view of a device according to the invention, wherein the device is connected to a fixation means for pulling the pin thereof backwards; figure 2 is a side view of the device of figure 1; figure 3 is a perspective view of an inner extrac- tion member forming part of the device of figure 1; figure 4 is a longitudinal section of the inner extraction member of figure 3 ; figure 5 is a perspective view of an outer extraction member forming part of the device of figure 1; figure 6 is a side view of the outer extraction member of figure 5; and figure 7 is a side view of an extraction handle forming part of the device of figure 1.
The extraction device 1 illustrated in the drawings is adapted for extraction or withdrawal of fixation means 2 for fixation of bone fragments 3 , 4 at bone fractures 5. The bone fragments 3 , 4 to be fixed can be bone fragments at femoral fractures, collar bone fractures or at fractures of any other bone in the body.
The fixation means 2 may be of any prior art type - see e.g. US 4498 468 - and it may include a sleeve 6 and at least one pin 7 provided in said sleeve 6. The sleeve 6 has an open rear end portion 8 and a front end portion 9 having at leant one opening 10 in a longitudinal side of the sleeve 6 but being otherwise closed. The pin 7 can be driven into the sleeve 6 in a forward direc- tion by means of a drawing-in instrument (already known per se and therefore not shown) such that a front part 11 of the pin 7 is brought to protrude through the opening 10 until it engages the bone material of the surrounding bone fragment 4. Hereby, the fixation means 2 fix the bone fragments 3 , 4 at each other.
The extraction device 1 is adapted for withdrawal of the front part 11 of the pin 7 from the bone material of the bone fragment 4 for being able to remove the sleeve 6 when the fracture 5 is healed. To accomplish this, the extraction device 1 comprises, in the embodiment shown, three members, namely an inner extraction member 12, an outer extraction member 13 and a manully operable extraction handle 14, and these three members are provided to pull the pin 7 backwards relative to the sleeve 6 without thereby subjecting the pin 7 to torsional forces in relation thereto. Hereby, one avoids the problem that the front part 11 of the pin 7 engages one of the edges of the opening 10 when said pin is pulled into the opening 10 and this results in that said front part 11 of the pin 7 can not cut into said edge or vice versa such that the front part 11 clings to said edge.
In the embodiment shown, the inner extraction member 12 consists of an elongated rod which at a front end portion 15 has an axially directed hole with inner threads 16. The front end portion 15 has such a diameter that it can be pushed into the rear end portion 8 of the sleeve 6 and its inner threads 16 mesh with outer threads 17 on a rear part 18 of the pin 7 such that the inner extraction member 12 can be screwed onto said rear part 18.
The front end portion 15 of the inner extraction member 12 transforms through an edge 19 into such portions 20 of the inner extraction member 12 which preferably have a larger diameter than the front end portion 15. The edge 19 of the inner extraction member 12 may engage a rear edge 21 of the sleeve 6 when the inner ex- traction member 12 is operating.
The hole with the inner threads 16 in the front end portion 15 of the inner extraction member 12 has preferably an inlet 22 without threads and tapering coni- cally in a direction inwards into the hole. Hereby, the pin 7 can guide the inner extraction member 12 such that the inner threads 16 thereof easily "find" the outer threads 17 of the pin 7 , whereby said inner and outer threads 16, 17 more easily mesh with each other in a correct manner when the inner extraction member 12 is scre- wed onto the pin 7. In combination with the inlet 22 without threads in the hole of the inner extraction member 12 or as an alternative thereto, an outer portion of the rear part 18 of the pin 7 may also be without threads and have a conically increasing diameter in a direction towards the outer threads 17 of the rear part 18.
The inner extraction member 12 has a hole with inner threads 23 in a rear end portion 24 and the extraction handle 14 has a front end portion 25 with outer threads 26 which fit or mesh with said inner threads 23. Said front end portion 25 ends at a transverse edge 27 and the extraction handle 14 has at the back a transverse handle member 28 which is engaged in order to turn or rotate the extraction handle 14.
The rear end portion 24 of the inner extraction member 12 has a rotary preventing member 29, e.g. at least an oval member 29, which can be defined by one or more flat face milled parts of the rear end portion 24 which for the rest has a circular cross section. The purpose of the rotary preventing member 29 will be described hereinafter.
The outer extraction member 13 consists of, in the illustrated embodiment, an elongated sleeve which is open at a front end portion 30 as well as at a rear end portion 31. This sleeve is sized such that the inner extraction member 12 can be inserted thereinto and displaced in an axial extraction direction R relative to said sleeve. The rear end portion 31 of the outer extraction member 13 has inside the sleeve a rotary preventing member 32, e.g. in the form of a flat constriction of the interior of the sleeve, the rest of which has a circular cross-sectional shape. The inner extraction member 12 can be inserted into the outer extraction member 13 so far that rotary preventing members 29 of the former cooperate with the rotary preventing members 32 of the latter in such a way that they prevent rotation of the inner extraction member 12 and the pin 7 relative to the outer extraction member 13 and the sleeve 6 about a geometric centre line C which extends along the inner and outer extraction members 12 , 13 and the sleeve 6 and the pin 7 when said inner extraction member 12 and said pin 7 are pulled backwards in the direction of extraction or withdrawal R.
The outer extraction member 13 has a through hole 33 with preferably the same diameter along its entire length except for said rotary preventing member 32.
The outer extraction member 13 is held fast with the hand so that it can not rotate about the centre line C and in order to facilitate this holding it may have a sideways or laterally directed handle 34 or similar, which preferably can be provided at the rear end portion 31 of the outer extraction member 13. The lengths of the inner and outer extraction members 12, 13 and the location as well as the shape of the rotary preventing members 29, 32 are preferably cho- sen such that the extraction handle 14 can cooperate with the inner extraction member 12 only when said inner extraction member 12 is inserted into the outer extraction member 13 such that the rotary preventing members 29, 32 of said extraction members 12, 13 cooperate with each other.
The outer threads 26 of the extraction handle 14 have such length and/or the inner threads 23 in the rear end portion 24 of the outer extraction member 13 have such length that the extraction handle 14 can be screwed together with the inner extraction member 12 so far, but not farther, that the pin 7 is drawn or pulled backwards so far, but not farther than that the tip 35 of the pin 7 is situated within the opening 10 in the sleeve 6. This means that the tip 35 of the pin 7 can cooperate with a rear edge of the opening 10 and thereby pull the sleeve 6 backwards together therewith when said sleeve shall be withdrawn from the bone fragments 3 , 4 by means of the extraction handle 14 and the extraction force of the extraction handle 14 is transferred to the pin 7 through the inner extraction member 12.
The inner extraction member 12 may have lateral holes 36, 37 which extend into the holes with the inner threads 16, 23 such that said holes can be flushed clean at the lateral holes 36, 37.
The device described above can be operated as follows :
1) the inner extraction member 12 is screwed onto the pin 7 by right hand rotation, 2) the outer extraction member 13 is threaded onto the inner extraction member 12 and located such that the rotary preventing members 29, 32 of said extraction members 12, 13 cooperate with each other,
3) the extraction handle 14 is moved, through the outer extraction member 13, into the inner extraction member 12 and is screwed thereonto by right hand rotation, 4) the extraction handle 14 is continuously rotated to the right when the outer extraction member 13 engages the sleeve 6 and thereby, the extraction handle 14 will draw or pull, through the inner extraction member 12, the pin 7 backwards relative to the sleeve 6 in the direction of extraction or withdrawal R.
The device described above is particularly suitable for use at fixation means 2 wherein the sleeve 6 and the pin 7 consists of titanium material, but may of course also be used at fixation means 2 of other materials, e.g. stainless steel.
The invention is not limited to the device described above, but may vary within the scope of the subsequent claims . Thus , the extraction handle 14 may be displace- able backwards relative to the outer extraction member 13 instead of being rotated, the rotary preventing members 29, 32 may be of a totally different type and be located in other ways than shown and described and the lengths of the various members and threads may be chosen diffe- rently than described. Instead of choosing certain lengths on the outer threads 26 of the extraction handle 14 and/ /or the inner threads 23 of the inner extraction member 12 for limiting the length of extraction or withdrawal of the pin 7, other types of members limiting the extrac- tion can be provided. The opening 10 in the sleeve 6 may be round or oval or substantially round or oval and the front part 11 of the pin 7 may have a rounded side by means of which it can cooperate with front parts of the opening 10, and another side, opposite to said side, which is flat or substantially flat and which can cooperate with rear parts of the opening 10.

Claims

Claims :
1. Device for extraction of pins at fixation means for fixation of bone fragments at bone fractures , wherein the fixation means (2) includes a sleeve (6) and at least one pin (7) provided in said sleeve (6) , wherein the sleeve (6) at a front end portion (9) has at least one opening (10) in a longitudinal side thereof, wherein a front part (11) of the pin (7) extends, when said pin (7) is located in an operating position, out of the sleeve (6) through the opening (10) and engage bone material of one of the bone fragments (3, 4), and wherein the extraction device (1) is adapted to pull the pin (7) in a backwards direction relative to the sleeve (6) in order to withdraw the front part (11) of the pin (7) from bone material of one of the bone fragments (3, 4) and into the sleeve (6), c h a r a c t e r i z e d i n that the extraction device (1) comprises means (12, 13 and 14) which are provided to draw or pull the pin (7) backwards relative to the sleeve (6) without thereby subjecting the pin (7) to torsional forces in relation thereto .
2 . Device according to claim 1 , c h a r a c t e r i z e d i n that said means includes an inner extraction member (12), an outer extraction member (13) and an extraction handle (14) , that the inner extraction member (12) is operable by means of the extraction handle (14) for pulling said inner extraction member (12) and the pin (7) connected thereto in a direction of extraction or withdrawal (R) backwards relative to the outer extraction member (13) and the sleeve (6) , and that rotary preventing members (29, 32) are provided to, during backward movement of the inner extraction mem- ber (12) and the pin (7) in the direction of extraction (R) , prevent turning or rotation of the inner extraction member (12) and the pin (7) relative to the outer extraction member (13) and the sleeve (6) .
3. Device according to claim 2, c h a r a c t e r i z e d i n that the outer extraction member (13) is prevented from rotating about a geometric centre line (C) which extends along said member (13) by holding fast said outer extraction member (13) manually, and that the outer and inner extraction members (13, 12) include said rotary preventing members (29, 32) which are provided such that when the outer extraction member (13) is held fast such that it can not turn or rotate, neither can said inner extraction member (12) turn or rotate about said centre line (C) .
4. Device according to claim 3, c h a r a c t e r i z e d i n that said rotary preventing members (29, 32) are oval parts of a through hole (33) in the outer extraction member (13) and thereby cooperating with oval parts of the inner extraction member (12), and that the rotary preventing members (29, 32) cooperate with each other when the inner extraction member (12) is inserted into the through hole (33) of the outer extraction member (13) .
5. Device according to claim 4, c h a r a c t e r i z e d i n that the rotary preventing members (32) of the outer extraction member (13) are provided in a rear end portion (31) of the outer extraction member (13), and that the rotary preventing members (29) of the inner extraction member (12) are provided on a rear end portion (24) of the inner extraction member (12).
6. Device according to any of claims 2-5, c h a r a c t e r i z e d i n that the lengths of the inner and outer extraction members (12, 13) and the location and shape of their rotary preventing members (29, 32) are chosen such that the extraction handle (14) can cooperate with the inner extraction member (12) only in order to draw or pull said inner extraction member (12) back- wards in the direction of extraction or withdrawal (R) only when said inner extraction member (12) is inserted into the outer extraction member (13) such that their rotary preventing members (29, 32) cooperate with each other.
7. Device according to any preceding claim, c h a r a c t e r i z e d i n that at least one part (26 and/or 23) limiting the extraction or withdrawal is provided in order to ensure that the extraction handle (14) , through the inner extraction member (12) , can draw or pull the pin (7) backwards so far relative to the sleeve (6) , but not farther, that a tip (35) of the pin (7) is situated in the opening (10) of the sleeve (6) , and can thereby cooperate with a rear edge of the opening (10) such that the pin (7) , through said cooperation with the rear edge of the opening (10) , can draw or pull the sleeve (6) backwards along with it in the direction of extraction or withdrawal (R) when the sleeve (6) shall be pulled out of the bone fragment (3, 4) by means of the extraction handle (14) .
8. Device according to claim 7, c h a r a c t e r i z e d i n that said extraction limiting part (26 and/or 23) consists of that the extraction handle (14) has outer threads (26) with such length and/or that the inner extraction member (12) has inner threads (23) with such length that the length of screwing together of the outer threads (26) of the extraction handle (14) and the inner threads (23) of the inner extraction member (12) is limited.
9. Device according to any preceding claim, c h a - r a c t e r i z e d i n that a rear part (18) of the pin (7) has outer threads (17), that a front end portion (15) of the inner extraction member (12) has a hole with inner threads (16) which mesh with the outer threads (17) of the pin (7) , and that the hole of the inner extraction member (12) has an inlet (22) without threads, said inlet (22) tapering conically in a direction inwards into the hole, and/or that the rear part (18) of the pin (7) has an outer portion without threads, said outer portion having a conically increasing diameter in a direction towards the outer threads (17) of the rear part (18) .
10. Device according to any preceding claim, c h a r a c t e r i z e d i n that the inner extraction member (12) has a front end portion (15) with such outer dimensions or size that it can be inserted into a rear end portion (8) of the sleeve (6) .
11. Device according to claim 10, c h a r a c t e r i z e d i n that the front end portion (15) of the inner extraction member (12), which can be inserted into a rear end portion (8) of the sleeve (6), transforms into inner portions (20) of the inner extraction member (12) having larger outer dimensions through an edge (19) which can engage a rear edge (21) of the sleeve (6) when the inner extraction member (12) is operating.
12. Device according to any preceding claim, c h a r a c t e r i z e d i n that the inner extraction member (12) is an elongated rod and has a front end portion (15) with a hole which is provided with inner threads (16) which mesh with outer threads (17) on the pin (7), that the inner extraction member (12) has a rear end portion (24) with a hole with inner threads (23) which fit or mesh with outer threads (26) on the extraction handle (14), that the outer extraction member (13) is an elongated sleeve which is open in both ends, and that the inner extraction member (12) fits into the outer extraction member and is axially displaceable in relation thereto .
13. Device according to claim 12, c h a r a c t e - r i z e d i n that the inner extraction member (12) includes lateral holes (36, 37) which extend into the holes with the inner threads (16, 23) such that said holes can be flushed clean through said lateral holes (36, 37).
14. Device according to any preceding claim, c h a r a c t e r i z e d i n that the outer extraction member (13) has a sideways or laterally directed handle (34) for holding said outer extraction member (13) such that it does not rotate when the pin (7) is drawn or pulled out in the direction of extraction or withdrawal (R) .
15. Device according to any preceding claim, c h a r a c t e r i z e d i n that the device consists of only three members, namely an inner extraction member
(12) , an outer extraction member (13) and an extraction handle (14) .
16. Device according to any preceding claim, c h a r a c t e r i z e d i n that the opening (10) in the sleeve (6) is round or oval or substantially round or oval, and that the front part (11) of the pin (7) has a rounded side by means of which it can cooperate with front parts of the opening (10) , and another side, opposite to said side, which is flat or substantially flat and which can cooperate with rear parts of the opening (10) .
17. Device according to any preceding claim, c h a r a c t e r i z e d i n that the sleeve (6) and pin (7) are made of titanium.
18. Device according to any of claims 1-16, c h a r a c t e r i z e d i n that the sleeve (6) and pin (7) are made of stainless steel.
PCT/SE2003/000558 2002-04-09 2003-04-07 Device for extraction of pins at fixation means for fixation of bone fragments at bone fractures WO2003086214A1 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
DE60330129T DE60330129D1 (en) 2002-04-09 2003-04-07 DEVICE FOR REMOVING PINS OF FIXATION AGENTS FOR FIXING BONE FRAGMENTS TO BONE FRACTURES
US10/509,606 US7850699B2 (en) 2002-04-09 2003-04-07 Device for extraction of pins at fixation means for fixation of bone fragments at bone fractures
AU2003217136A AU2003217136A1 (en) 2002-04-09 2003-04-07 Device for extraction of pins at fixation means for fixation of bone fragments at bone fractures
AT03713170T ATE448745T1 (en) 2002-04-09 2003-04-07 DEVICE FOR EXTRACTING PINS ON FIXATION MEANS FOR FIXING BONE FRAGMENTS TO BONE FRACTURES
JP2003583242A JP4421901B2 (en) 2002-04-09 2003-04-07 Nail extraction device in fixation means for bone fragment fixation for fractures
EP03713170A EP1492465B1 (en) 2002-04-09 2003-04-07 Device for extraction of pins at fixation means for fixation of bone fragments at bone fractures

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
SE0201058-5 2002-04-09
SE0201058A SE521943C2 (en) 2002-04-09 2002-04-09 Device for extracting pins at fixing means for fixing bone fragments in the event of a bone fracture.

Publications (2)

Publication Number Publication Date
WO2003086214A1 true WO2003086214A1 (en) 2003-10-23
WO2003086214B1 WO2003086214B1 (en) 2004-04-15

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/SE2003/000558 WO2003086214A1 (en) 2002-04-09 2003-04-07 Device for extraction of pins at fixation means for fixation of bone fragments at bone fractures

Country Status (9)

Country Link
US (1) US7850699B2 (en)
EP (1) EP1492465B1 (en)
JP (1) JP4421901B2 (en)
AT (1) ATE448745T1 (en)
AU (1) AU2003217136A1 (en)
DE (1) DE60330129D1 (en)
ES (1) ES2337459T3 (en)
SE (1) SE521943C2 (en)
WO (1) WO2003086214A1 (en)

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WO2014058367A1 (en) * 2012-10-12 2014-04-17 Swemac Innovation Ab Fixing means for fixation of bone fragments at bone fractures
CN111067613A (en) * 2019-12-25 2020-04-28 岳攀 Rotary femoral intramedullary needle extractor

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US20100087831A1 (en) * 2008-10-07 2010-04-08 Donald Marx Knee replacement nail remover
RU2476179C1 (en) * 2011-08-08 2013-02-27 Федеральное государственное учреждение "Российский научный центр "Восстановительная травматология и ортопедия" имени академика Г.А. Илизарова" Министерства здравоохранения и социального развития Российской Федерации" Method of transcutaneous introduction of fixers and device for its realisation
US8535322B1 (en) * 2012-11-07 2013-09-17 Roy Y. Powlan Hip nail and inertial insertion tooling
CN103239284A (en) * 2013-04-16 2013-08-14 刘毅 Bone fracture plate screw positioning device
JP2015128460A (en) * 2014-01-04 2015-07-16 スウェマック・イノベーション・アクチボラグ Device for fixation of bone fragment at bone fracture
US11109903B2 (en) * 2019-01-15 2021-09-07 Shukla Medical Cannulated nail extractor

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Also Published As

Publication number Publication date
US20050149051A1 (en) 2005-07-07
ES2337459T3 (en) 2010-04-26
EP1492465A1 (en) 2005-01-05
WO2003086214B1 (en) 2004-04-15
AU2003217136A1 (en) 2003-10-27
JP4421901B2 (en) 2010-02-24
DE60330129D1 (en) 2009-12-31
JP2005523051A (en) 2005-08-04
ATE448745T1 (en) 2009-12-15
SE0201058L (en) 2003-10-10
SE521943C2 (en) 2003-12-23
EP1492465B1 (en) 2009-11-18
SE0201058D0 (en) 2002-04-09
US7850699B2 (en) 2010-12-14

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